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Individual
ERIN KIM
Active
Individual
ERIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61663
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699021071
—
CA
Enumeration date
08/03/2012
Last updated
03/17/2018
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